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AIDS will turn 20 this week - at least, our awareness of it will, since it was June 5, 1981, when the Centers for Disease Control and Prevention first published a report about five gay men in Los Angeles with a strange illness. Last week the CDC drew attention to a new study, and many reporters focused on its most shocking, depressing finding - that nearly 15% of young black gay men are contracting HIV every year. One-third of black gays ages 23 to 29 are already infected in the six cities where the study was conducted. If these rates...
...focus only on the tragedy stalking black gay men is to miss the larger story. Many young gays of all races have become complacent about HIV. The CDC survey showed that 4.4% of gay men in their 20s are being infected each year--about twice the incidence of infection in gay men overall as measured by other studies. These figures aren't perfectly reliable; so many gay men hide their sexual orientation that finding a representative pool is basically impossible...
...just HIV that we could be spreading. National rates of syphilis transmission are at their lowest in 60 years. But in February the CDC released a report documenting 130 syphilis cases in Southern California, up from 100 the year before. Sixty-six of the new cases occurred in men who had had sex with another man at least once (presumably most of the 66 are gay). And only 20% of those men reported using a condom the last time they...
...responsibility for their health, but until this week, the government wasn't doing much to sound the alarm. Congress allocates more than $7 billion a year for AIDS treatment. But HIV-prevention efforts have never been sufficient. It took until this year--20 years into the epidemic--for the CDC to come up with its first comprehensive plan to change sexual behavior, through education and counseling, among those already infected. AIDS activists estimate that it would cost $1.3 billion to implement that plan, while the current budget for prevention is only $844 million. That money is often distributed to local...
...Last week it seemed tempting to see AIDS as a pathology we could confine to the inner city. We can't. To be sure, HIV-prevention strategies must be culturally targeted, and the CDC must find a way to get through to black men who don't see themselves as part of the gay community. But the CDC may also have to start anew with gay America as a whole, since some of us weren't around the first time HIV started killing...